Provider Demographics
NPI:1881680809
Name:SHERRY, JOHN E II (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:E
Last Name:SHERRY
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1740 JANIE LN
Mailing Address - Street 2:SUITE E
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-8305
Mailing Address - Country:US
Mailing Address - Phone:540-560-2719
Mailing Address - Fax:
Practice Address - Street 1:1740 JANIE LN
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-8305
Practice Address - Country:US
Practice Address - Phone:540-560-2719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2014-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101059231208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5710898Medicaid
VA003668B81Medicare PIN
VAF91872Medicare UPIN
WV1809275-000Medicare PIN